Ivory Dental Specialist Llc is a Orthodontics and Dentofacial Clinic in Chicago, Illinois. This organization is also known as sub part of Ivory Dental Specialist Llc. It is located at 1040 E 47th Street, Chicago, IL and its contact number is 773-239-7696. The authorized person for Ivory Dental Specialist Llc is Dr. Bonciel Griffin
who is Orthodontist/owner of the clinic and their contact number is 773-239-7696. The primary license number for Ivory Dental Specialist Llc is 019025726 (Orthodontics and Dentofacial Orthopedics) in Illinois. Ivory Dental Specialist Llc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Ivory Dental Specialist Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Ivory Dental Specialist Llc
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
1040 E 47th Street, Chicago, Illinois, 60653
Phone:
773-239-7696
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Bonciel Griffin
Position:
Orthodontist/owner
Contact Number:
773-239-7696
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ivory Dental Specialist Llc clinic are as mentioned below.
NPI Number:
1417384793
Parent Organization:
Ivory Dental Specialist Llc
NPI Enumeration Date:
02 Oct, 2013
NPI Last Update On:
02 Oct, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ivory Dental Specialist Llc are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
019025726
Illinois
Primary
Orthodontics and Dentofacial Orthopedics
021002361
Illinois
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ivory Dental Specialist Llc 1040 E 47th St, Chicago, Illinois
Zip:
60653-3600
Phone Number:
773-924-5123
Patients can reach Ivory Dental Specialist Llc at 1040 E 47th Street, Chicago, Illinois or can call to book an appointment on 773-239-7696. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.